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MARICELA DIANEXI FARDALES PA
NPI 1457362410
Physician Assistant - Medical in Hialeah, FL

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
8051 W 24TH AVE STE 9, HIALEAH, FL 33016(305) 400-9702(305) 735-7542 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 13, 2021, Nov 18, 2015 (2 updates tracked since 2015).

About Maricela Dianexi Fardales Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARICELA DIANEXI FARDALES PA (NPI 1457362410) is an individual medical provider in Hialeah, Florida, licensed in Florida (PA9103093) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457362410
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARICELA DIANEXI FARDALESCredential: PA
Location Address8051 W 24TH AVE STE 9Hialeah, FL 33016-5596
Mailing Address8051 W 24th Ave Ste 9Hialeah, FL 33016-5596 · (305) 400-9702 · Fax (305) 735-7542
Phone(305) 400-9702
Fax(305) 735-7542
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1457362410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9103093
8051 W 24TH AVE STE 9, Hialeah, FL 33016
Open in Google Maps ↗

Other Identifiers 1

Medicaid004570500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maricela Dianexi Fardales Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537262829
PECOS Enrollment IDI20070306000606
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims60 services$5.61 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARDALES MEDICAL CENTER INC
Clinic/Center (Primary Care)
8051 W 24TH AVE STE 9
HIALEAH, FL 33016
Miami-Dade County (305) 400-9702
BIANCA N FAZIO PA-C
Physician Assistant (Medical)
8051 W 24TH AVE STE 9
HIALEAH, FL 33016
Miami-Dade County (305) 400-9702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maricela Fardales's NPI number?

The NPI number for Maricela Fardales is 1457362410. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Maricela Fardales located?

Maricela Fardales practices at 8051 W 24th Ave Ste 9, Hialeah, FL 33016. The listed phone number is (305) 400-9702.

What is Maricela Fardales's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maricela Fardales enrolled in Medicare?

Yes. Maricela Fardales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maricela Fardales accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Maricela Fardales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maricela Fardales was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.